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Nodal Claims Triage

Every claim has a past. Nodal already knows it.

No claim starts in a vacuum. Nodal brings the history behind the claim into every triage decision, so your team can spot high-risk claims earlier, understand what's driving them, and know where to act next.

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Nodal Claims Triage Nodal Claims Triage

Most triage is working from a partial picture

The risk is in motion before the claim arrives

The risk is in motion before the claim arrives

The drivers of severity form before a claim is ever reported. Most triage only sees it at intake, after the risk is already building.

The signals that matter sit outside the claim file

The signals that matter sit outside the claim file

Prior injuries, comorbidities, and the history behind a claim rarely show up in the structured fields triage runs on.

A few claims drive most of the cost, and they don't look like it

A recommendation is only as good as the data behind it

Triage has moved from predicting risk to recommending what to do next. But without the right data, a recommendation is a best practice, not a read on the risk.


Bring the whole story into every triage decision

Nodal finds high-risk claims early, reads what’s driving them, and points your team to the next step.  For workers’ compensation, general liability, and commercial auto.

See what others can't
Clinical health history
Start with what came before the claim

Nodal brings the claimant’s clinical health history to triage, available on up to 95% of claims, so the risk already in motion is visible from the start.

Catch it early
Early identification
Flag high-cost claims in the first 10 days

85% of high-cost claims are surfaced while they’re still influenceable, reducing severity and downstream cost.

Understand why
Unstructured data
Read the notes, not just the fields

NLP and AI extract the signals that drive cost, like attorney involvement and injury severity, that structured fields miss.

Stay ahead as it changes
Daily risk scoring
Keep pace with claims as they move

Every claim is re-scored daily, from day one through day 180, so a deteriorating claim surfaces the moment it moves, not at the next review.

Decide where to act
Priority Actions
Know the next move to make

Each high-risk claim comes with a recommended next step and the reasoning behind it, so adjusters can see why it’s flagged and decide how to act, not just which files are flagged.


The Nodal difference? It’s what’s behind the model.

Data no other triage model can reach

Data no other triage model can reach

Nodal brings the claimant’s clinical health history, the signals buried in the notes, and the context around both into every triage decision.

Built by actuaries

Better recommendations from better context

Nodal brings clinical history, medical context, and legal signals into every next-best action.

Experts who stay in the room

Experts who stay in the room

Milliman’s actuaries, clinicians, and claims experts work alongside your team after deployment to interpret results, refine the model to your data, and keep it calibrated as your book changes.

Live in six to eight weeks, no rip-and-replace

Live in six to eight weeks, no rip-and-replace

Nodal Claims Triage deploys alongside your existing claims system, so you reach production in weeks.


Designed for the way you manage claims

Insurance carriers

Nodal flags the severity and litigation risk driving your costs early, so you can intervene before claims escalate.

Self-insured employers

Nodal catches the high-cost claims early, where intervention still changes the outcome and protects your bottom line.

Third-party administrators

Nodal gives every adjuster consistent, defensible triage decisions across every account, so you deliver results you can stand behind.

Risk pools

Nodal brings transparency and actuarial rigor to which claims get attention and why, so resource decisions hold up to scrutiny.

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Demo-Product Pages (#5)

See what the claim file can't tell you.

Tell us a bit about your claims operation and we'll set up a demo tailored to your program.

What insurance lines of business does Nodal support?

Nodal provides P&C claims triage in workers’ compensation, general liability, and commercial auto. The models are tailored to your book and adapt to the regulatory and litigation environment of the states where you operate.

What is unstructured data, and why is it important for P&C claims?

Unstructured data is information that is not organized in a pre-set data model or database, such as text-heavy files. In the context of claims triage, this includes adjuster notes, medical reports, and police records. Nodal uses natural language processing (NLP) and AI to extract risk signals, like attorney involvement or injury severity, that are often buried in these notes, allowing for more accurate scoring than traditional field-based models.

How does AI-powered claims triage improve adjuster productivity?

By automating the initial review process, Nodal delivers an average adjuster productivity lift of 15–25%. Instead of manually hunting for high-risk files, adjusters receive daily risk scores and next-best-action recommendations. This allows your team to focus their expertise on the most complex claims that require immediate intervention.

What is the expected ROI and cost savings after implementation?

Our clients typically see a 5–10% reduction in total claim costs and an 8–10x average increase in ROI. By identifying 85% of high-cost claims within the first 10 days, Nodal enables early intervention before medical costs escalate or litigation risks increase.

How long does it take to deploy Nodal's claims triage solution?

Unlike rip-and-replace software, Nodal is designed to deploy alongside your existing claims management system or RMIS. Most carriers, TPAs, risk pools, and self-insured employers are live and seeing results within six to eight weeks, ensuring a rapid return on investment without disrupting current workflows.

Should we build claims triage in-house or buy it?

Building in-house means your models are only as good as your own claims history, and that history has blind spots: it can’t tell you what care should cost outside your book, and it normalizes the patterns already baked into your data. It also means standing up data science, NLP, and actuarial capabilities you’d have to maintain as your book changes. Nodal is built by Milliman, the actuarial firm insurers already trust to price risk, and it’s tuned to your data while validating against outside benchmarks a single book can’t generate on its own. You get a model calibrated to your environment without carrying the cost of building and maintaining one, and you’re live in six to eight weeks instead of quarters.

What's the cost of waiting to adopt claims triage?

Doing nothing has a price that doesn’t show up on an invoice. Ten percent of claims drive the majority of cost, and they don’t look different at intake, so every quarter without early identification is another set of claims that escalate before anyone sees them coming. The window to change a claim’s trajectory is widest at the start and closes fast; by the time severity or litigation is obvious, the intervention that would have mattered is no longer available. Waiting doesn’t hold the line, it lets the costly claims keep slipping through while adjuster capacity stays stretched across files that don’t need the attention.